There have been a number of developments in approaches to public service delivery, partly as a response to austerity measures, as well as a shift to new models of public sector, private and third sector provision. This article considers the development of public service mutuals—those organizations that have spun out of the public sector, and where employees of the new providers play a key role in shaping and delivering public services at local and national levels. The authors identify areas where further work to better understand these new models is needed and to consider whether the perceived benefits associated with traditional mutual models are applicable when applied to public service provisio